Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration. APPENDIX A: CCBHC Demonstration Evaluation Progress Report Detailed and State-Level Tables

09/12/2020

TABLE A.1. CCBHC Staffing
Staff Type Employed before
CCBHC Certification		 Hired as Part
of CCBHC Certification		 Hired after
CCBHC Certification		 Employed as of
March 2018a		 Employed as of
March 2019
N % N % N % N % N %
CCBHC medical director 55 82 11 16 6 9 66 99 60 91
Adult psychiatrists 47 70 12 18 23 34 61 91 54 82
Child/adolescent psychiatrists 39 58 12 18 11 16 51 76 42 64
Other psychiatrists 29 43 8 12 9 13 40 60 31 47
Nurses 57 85 22 33 36 54 67 100 65 98
LCSWs 63 94 23 34 30 45 66 99 66 100
Licensed psychologists 30 45 7 10 9 13 35 52 29 44
Licensed marriage and family therapists 40 60 9 13 11 16 42 63 40 61
Case management staff 48 72 32 48 34 51 65 97 64 97
Occupational therapists 11 16 2 3 5 7 17 25 11 17
SUD specialists 61 91 25 37 32 48 67 100 61 92
Bachelor's degree-level counselors 49 73 14 21 19 28 50 75 51 77
Associate's degree-level or non-degree counselors 27 40 5 7 11 16 30 45 32 48
MH professionals 27 40 5 7 10 15 30 45 31 47
Community health workers 18 27 10 15 13 19 27 40 23 35
Medical/nursing assistants 28 42 12 18 15 22 37 55 38 58
Pharmacy staff 8 12 0 0 3 4 10 15 11 17
Peer specialists/recovery coaches 46 69 40 60 38 57 66 99 66 100
Family support staff 25 37 19 28 21 31 45 67 45 68
Interpreters or linguistic counselors 24 36 8 12 10 15 29 43 20 30
Interns 41 61 6 9 22 33 47 70 48 73
Other clinician types 29 43 17 25 22 33 37 55 38 58
Total CCBHCs 67 100 67 100 67 100 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.
NOTES: Columns are not mutually exclusive because CCBHCs may have employed the same staff type before CCBHC certification and hired those staff as part of or after certification.
Consistent with the CCBHC cost-reporting template, the MH professional category includes only providers trained and credentialed for psychological testing.
"Other clinician types" is a write-in category.
  1. "Employed as of March 2018" was calculated by combining the other 3 responses to show if the CCBHC either employed that staff type before CCBHC certification or hired that staff type during or after CCBHC certification.

 

TABLE A.2. CCBHC Staffing, by State, 2019
Staff Type State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
CCBHC medical director 83% 100% 33% 100% 92% 100% 83% 100% 87%
Adult psychiatrists 83% 93% 33% 71% 85% 67% 75% 100% 76%
Child/adolescent psychiatrists 33% 67% 0% 57% 77% 67% 67% 86% 57%
Other psychiatrists 0% 73% 33% 43% 62% 67% 17% 57% 44%
Nurses 100% 100% 100% 86% 100% 100% 100% 100% 98%
LCSWs 100% 100% 100% 100% 100% 100% 100% 100% 100%
Licensed psychologists 100% 73% 0% 29% 23% 33% 25% 43% 41%
Licensed marriage and family therapists 100% 60% 67% 71% 38% 67% 67% 43% 64%
Case management staff 100% 93% 100% 100% 92% 100% 100% 100% 98%
Occupational therapists 17% 13% 0% 14% 15% 33% 33% 0% 16%
SUD specialists 83% 93% 100% 86% 92% 100% 100% 86% 93%
Bachelor's degree-level counselors 83% 80% 100% 71% 69% 67% 92% 57% 77%
Associate's degree-level or non-degree counselors 67% 67% 33% 43% 38% 67% 58% 0% 47%
MH professionals 100% 47% 100% 0% 38% 0% 50% 57% 49%
Community health workers 33% 47% 33% 43% 23% 0% 50% 14% 30%
Medical/nursing assistants 83% 47% 33% 57% 62% 100% 58% 43% 60%
Pharmacy staff 33% 20% 0% 29% 15% 33% 8% 0% 17%
Peer specialists/recovery coaches 100% 100% 100% 100% 100% 100% 100% 100% 100%
Family support staff 33% 93% 67% 29% 77% 100% 75% 43% 65%
Interpreters or linguistic counselors 50% 20% 100% 57% 23% 33% 17% 14% 39%
Interns 100% 60% 100% 100% 85% 33% 58% 57% 74%
Other clinician types 33% 67% 67% 71% 54% 100% 42% 57% 61%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: This table shows the percentage of CCBHCs, by state, that hired each staff type as of March 2019. This table corresponds with the column "Employed as of March 2019" from Appendix Table A.1.
Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.
Consistent with the CCBHC cost-reporting template, the MH professional category includes only providers trained and credentialed for psychological testing.
"Other clinician types" is a write-in category.

 

TABLE A.3. Percentage of CCBHCs with Unfilled Staff Positions for 2 Months or Longer in the Past 12 Months, by State, 2019
Unfilled Staffing State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Any staff positions have gone unfilled for 2 months or longer during the past 12 months 100% 80% 0% 71% 77% 67% 83% 71% 69%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.4. CCBHC Staff Training in Required and Other Topics in the Past 12 Months, by State, 2019
Topic of Training State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Required by CCBHC Certification Criteria
Risk assessment, suicide prevention, and suicide response 100% 100% 100% 100% 100% 100% 100% 100% 100%
The role of family and peers in the delivery of care 67% 93% 67% 86% 77% 100% 58% 71% 77%
Person and family-centered care 83% 80% 100% 71% 100% 100% 83% 71% 86%
Recovery-oriented care 83% 87% 100% 100% 69% 100% 42% 86% 83%
Evidence-based and trauma-informed care 100% 100% 100% 100% 92% 100% 83% 100% 97%
Cultural competency training to address diversity within the organization's service population 100% 87% 100% 100% 85% 100% 92% 86% 94%
Primary and behavioral health care integration 33% 87% 100% 100% 77% 100% 67% 86% 81%
Other Trainings (not required)
Other 67% 67% 67% 71% 38% 67% 50% 57% 60%
Any traininga 100% 100% 100% 100% 100% 100% 100% 100% 100%
None 0% 0% 0% 0% 0% 0% 0% 0% 0%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.
  1. "Any training" was calculated by combining the other responses to show what proportion of CCBHCs provided any type of training to their staff in the past 12 months.

 

TABLE A.5. Changes to CCBHCs' Physical Space and Accessibility, by State, 2019
Change to Physical Space and Accessibility State Average Percentage of CCBHCs Across States % 2019
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Expansions or additions to the CCBHC building space 33% 47% 100% 43% 54% 67% 33% 57% 54%
Renovations to existing CCBHC facilities 50% 73% 33% 71% 77% 67% 50% 57% 60%
Improvements to facility safety features 50% 53% 33% 57% 69% 67% 33% 43% 51%
Other changes to CCBHCs' physical space 17% 27% 0% 29% 15% 33% 17% 43% 23%
Offers translation services 100% 100% 100% 100% 100% 100% 100% 100% 100%
Offers transportation or transportation vouchers 100% 100% 100% 86% 85% 100% 100% 57% 91%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.6. Telehealth and Remote Services
Telehealth and Remote Services Offered Service as
of March 2018		 Offered Before CCBHC
Certification, 2018		 Offered Service as
of March 2018
N % N %a N %
Offers services in locations outside of the clinicb 62 93 53 85 64 97
Consumers' homes 52 84 NA NA 50 78
Schools 34 55 NA NA 30 47
Courts, police offices, and other justice-related facilities 28 45 NA NA 21 33
Hospitals and EDs 20 32 NA NA 19 30
Community service agencies and non-profit organizations 17 27 NA NA 13 20
Homeless shelters 6 10 NA NA 7 11
Offers telehealth services 45 67 36 80 46 70
Total CCBHCs 67 100 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.
NOTES: The two 2018 columns are not mutually exclusive.
  1. The denominator is the number of CCBHCs that provided the individual service, which varies by row (that is, the denominator is the N reported in the "Offered service" column in the same row).
  2. The indented rows are based on a write-in follow-up question regarding specific locations outside of the clinic where CCBHCs offer services. NA reflects that CCBHCs did not report this information for the period before CCBHC certification.

 

TABLE A.7. CCBHCs that Offered Telehealth and Remote Services, by State, 2019
Telehealth and Remote Services State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Offers services in locations outside of the clinic 100% 100% 100% 71% 100% 100% 100% 100% 96%
Offers telehealth services 67% 93% 100% 43% 38% 67% 83% 71% 70%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.8. CCBHC Outreach since the Start of the Demonstration (2018) or in the Past 12 Months (2019)
Targeted Population Yes Response, 2018 Yes Response, 2019
N % N %
Consumers experiencing homelessness 43 64 57 86
Members of the armed forces or veterans 45 67 42 64
Consumers who were previously incarcerated 45 67 55 83
School-age youth 54 81 55 83
Older adults 33 49 33 50
Other populations 28 42 35 53
None 3 4 2 3
Total CCBHCs 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.

 

TABLE A.9. CCBHC Outreach in the Past 12 Months, by State, 2019
Targeted Population State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Consumers experiencing homelessness 100% 80% 100% 100% 77% 100% 83% 86% 91%
Members of the armed forces or veterans 67% 40% 100% 57% 62% 67% 75% 86% 69%
Consumers who were previously incarcerated 83% 93% 100% 86% 77% 67% 83% 71% 83%
School-age youth 100% 87% 100% 43% 77% 100% 83% 100% 86%
Older adults 17% 47% 100% 14% 62% 33% 58% 71% 50%
Other populations 67% 67% 100% 57% 54% 33% 33% 29% 55%
None 0% 0% 0% 0% 15% 0% 0% 0% 2%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.10. AOT Order Referrals, by State, 2019
Referral Source State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Referred by courts or AOT order 100% 100% 100% 100% 92% 100% 100% 100% 99%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 4, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.11. Services Added as a Result of CCBHC Certification, 2018
Service Type Service Description Added as a Result
of CCBHC Certification
N %
Crisis behavioral health services 24-hour mobile crisis teams 31 46
Emergency crisis intervention 21 31
Crisis stabilization 21 31
Screening, assessment, and diagnosis MH screening, assessment, diagnostic services 9 13
SUD screening, assessment, diagnostic services 15 22
Person and family-centered treatment planning services Person and family-centered treatment planning services 12 18
Outpatient MH and/or SUD services ACTa 4 6
Forensic ACTa 2 3
Individual CBTa 3 4
Group CBTa 4 6
Online CBTa 0 0
DBTa 5 7
First-episode/early intervention for psychosis 9 13
Evidence-based medication evaluation and managementa 5 7
MAT for alcohol and opioid usea 31 46
Motivational interviewinga 6 9
Multisystemic therapya 5 7
Outpatient MH counseling 4 6
Outpatient SUD treatment 13 19
Specialty MH/SUD services for children and youth 15 22
Therapeutic foster carea 1 1
Community wraparound services for youth/childrena 10 15
Psychiatric rehabilitation services Community integration services 16 24
Financial management 17 25
Illness management and recovery 21 31
Medication education 14 21
Psycho-education 13 19
Self-management 16 24
Skills training 14 21
Supported housing 8 12
Supported employment 18 27
Supported education 11 16
Wellness education services (diet, nutrition, exercise, tobacco cessation, etc.) 24 36
Peer support services Peer support services for consumers/clients 29 43
Peer support services for families 23 34
TCM TCM 27 40
Primary care screening and monitoring Primary care screening and monitoring 28 42
Intensive community-based MH services for armed forces and veterans Intensive community-based MH services for armed forces and veterans 30 45
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 data collected by Mathematica and the RAND Corporation, March 2018.
NOTES: The denominator is 67 CCBHCs.
  1. EBP included in the CCBHC certification criteria.

 

TABLE A.12. CCBHCs and DCOs Provided Required Services
Service Type CCBHC,
2018		 CCBHC,
2019		 DCO,
2018		 DCO,
2018		 Either CCBHC or
DCO, 2018		 Either CCBHC or
DCO, 2019
N % N % N % N % N % N %
Crisis behavioral health services
24-hour mobile crisis teams 49 73 53 80 23 34 19 29 65 97 65 98
Emergency crisis intervention 59 88 63 95 20 30 21 32 67 100 66 100
Crisis stabilization 60 90 59 89 14 21 18 27 66 99 64 97
Screening, assessment, and diagnosis
MH screening, assessment, diagnostic services 67 100 65 98 4 6 7 11 67 100 65 98
SUD screening, assessment, diagnostic services 67 100 65 98 3 4 4 6 67 100 65 98
Person and family-centered treatment planning services 66 99 66 100 5 7 7 11 66 99 66 100
Outpatient MH and/or SUD services
Outpatient MH counseling 67 100 66 100 0 0 4 6 67 100 66 100
Outpatient SUD treatment 67 100 66 100 0 0 2 3 67 100 66 100
Motivational interviewinga 67 100 66 100 2 3 4 6 67 100 66 100
Individual CBTa 67 100 66 100 0 0 3 5 67 100 66 100
Group CBTa 56 84 58 88 0 0 3 5 56 84 58 88
Online CBTa 7 10 9 14 0 0 0 0 7 10 9 14
DBTa 49 73 49 74 0 0 1 2 49 73 50 76
First-episode/early intervention for psychosis 40 60 37 56 0 0 4 6 40 60 38 58
Multisystemic therapya 27 40 36 55 0 0 2 3 27 40 37 56
ACTa 30 45 33 50 1 1 1 2 31 46 34 52
Forensic ACTa 6 9 10 15 0 0 1 2 6 9 11 17
Evidence-based medication evaluation and managementa 58 87 62 94 0 0 2 3 58 87 62 94
MAT for alcohol and opioid usea 55 82 61 92 2 3 1 2 56 84 61 92
Therapeutic foster carea 4 6 5 8 1 1 0 0 5 7 5 8
Community wraparound services for youth/childrena 50 75 49 74 2 3 2 3 51 76 51 77
Specialty MH/SUD services for children and youth 58 87 56 85 0 0 3 5 58 87 56 85
Psychiatric rehabilitation services
Medication education 65 97 64 97 3 4 6 9 66 99 65 98
Self-management 63 94 64 97 5 7 6 9 65 97 65 98
Skills training 64 96 64 97 5 7 6 9 66 99 65 98
Psycho-education 64 96 65 98 5 7 5 8 66 99 66 100
Community integration services 61 91 62 94 4 6 6 9 64 96 63 95
Illness management and recovery 62 93 61 92 4 6 6 9 65 97 62 94
Financial management 61 91 58 88 5 7 4 6 64 96 59 89
Wellness education services (diet, nutrition, exercise, tobacco cessation, etc.) 65 97 64 97 6 9 5 8 67 100 65 98
Supported housing 43 64 50 76 5 7 6 9 47 70 52 79
Supported employment 45 67 49 74 5 7 8 12 50 75 54 82
Supported education 33 49 41 62 5 7 7 11 36 54 45 68
Peer support services
Peer support services for consumers/clients 66 99 66 100 4 6 7 11 67 100 66 100
Peer support services for families 48 72 55 83 4 6 3 5 49 73 55 83
TCM 62 93 64 97 1 1 3 5 63 94 66 100
Primary care screening and monitoring 63 94 56 85 3 4 9 14 65 97 60 91
Intensive community-based MH services for armed forces and veterans 47 70 43 65 1 1 5 8 48 72 44 67
Total CCBHCs 67 100 66 100 67 100 66 100 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.
NOTES: Columns are not mutually exclusive.
  1. EBP included in the CCBHC certification criteria.

 

TABLE A.13. Percentage of CCBHCs that Provided Required Services Directly or Through DCOs, by State, 2019
Service Type State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Crisis behavioral health services
24-hour mobile crisis teams 100% 100% 100% 100% 100% 100% 100% 86% 98%
Emergency crisis intervention 100% 100% 100% 100% 100% 100% 100% 100% 100%
Crisis stabilization 100% 93% 100% 100% 100% 100% 92% 100% 98%
Screening, assessment, and diagnosis
MH screening, assessment, diagnostic services 100% 100% 67% 100% 100% 100% 100% 100% 96%
SUD screening, assessment, diagnostic services 100% 100% 67% 100% 100% 100% 100% 100% 96%
Person and family-centered treatment planning services 100% 100% 100% 100% 100% 100% 100% 100% 100%
Outpatient MH and/or SUD services
Outpatient MH counseling 100% 100% 100% 100% 100% 100% 100% 100% 100%
Outpatient SUD treatment 100% 100% 100% 100% 100% 100% 100% 100% 100%
Motivational interviewinga 100% 100% 100% 100% 100% 100% 100% 100% 100%
Individual CBTa 100% 100% 100% 100% 100% 100% 100% 100% 100%
Group CBTa 67% 87% 100% 100% 100% 100% 83% 71% 89%
Online CBTa 0% 20% 67% 0% 8% 33% 17% 0% 18%
DBTa 50% 73% 67% 43% 85% 67% 92% 100% 72%
First-episode/early intervention for psychosis 50% 40% 100% 57% 54% 67% 83% 43% 62%
Multisystemic therapya 67% 53% 100% 43% 54% 67% 75% 14% 59%
ACTa 50% 40% 100 43% 31% 67% 92% 29% 56%
Forensic ACTa 0% 13% 67% 14% 23% 0% 25% 0% 18%
Evidence-based medication evaluation and managementa 83% 100% 100% 86% 92% 100% 100% 86% 93%
MAT for alcohol and opioid usea 83% 100% 100% 100% 100% 100% 67% 100% 94%
Therapeutic foster carea 0% 0% 0% 14% 15% 0% 17% 0% 6%
Community wraparound services for youth/childrena 83% 87% 100% 71% 62% 100% 92% 43% 80%
Specialty MH/SUD services for children and youth 100% 87% 100% 43% 92% 100% 92% 71% 86%
Psychiatric rehabilitation services
Medication education 100% 100% 100% 100% 100% 100% 100% 86% 98%
Self-management 83% 100% 100% 100% 100% 100% 100% 100% 98%
Skills training 100% 100% 100% 86% 100% 100% 100% 100% 98%
Psycho-education 100% 100% 100% 100% 100% 100% 100% 100% 100%
Community integration services 100% 93% 100% 86% 100% 100% 92% 100% 96%
Illness management and recovery 83% 100% 100% 100% 92% 33% 100% 100% 89%
Financial management 83% 100% 100% 86% 85% 100% 83% 86% 90%
Wellness education services (diet, nutrition, exercise, tobacco cessation, etc.) 83% 100% 100% 100% 100% 100% 100% 100% 98%
Supported housing 83% 93% 100% 86% 77% 33% 75% 57% 76%
Supported employment 50% 87% 67% 86% 85% 67% 92% 86% 77%
Supported education 67% 53% 100% 71% 85% 67% 58% 71% 72%
Peer support services
Peer support services for consumers/clients 100% 100% 100% 100% 100% 100% 100% 100% 100%
Peer support services for families 33% 100% 100% 71% 100% 100% 92% 43% 80%
TCM 100% 100% 100% 100% 100% 100% 100% 100% 100%
Primary care screening and monitoring 83% 80% 100% 100% 100% 100% 100% 71% 92%
Intensive community-based MH services for armed forces and veterans 67% 47% 100% 57% 100% 33% 67% 57% 66%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: This table shows the percentage of CCBHCs, by state, that provided services either through CCBHCs directly or through DCO arrangements. The table corresponds with the column "either CCBHC and/or DCO provided service" from Appendix Table A.12.
Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.
  1. EBP included in the CCBHC certification criteria.

 

TABLE A.14. Availability of On-Site Primary Care at CCBHCs
Primary Care Services Yes Response, 2018 Yes Response, 2019
N % N %
Provided on-site primary care services (in addition to primary care screening and monitoring) 37 55 36 55
Provided on-site primary care services (in addition to primary care screening and monitoring) before CCBHC certification 31 84a NAb NAb
On-site primary care services were new due to CCBHC certification 6 16a NAb NAb
CCBHC was also an FQHC 5 8 4 6
Total CCBHCs 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.
NOTES:
  1. The denominator is the number of CCBHCs that provided on-site primary care services as of March 2018 (n = 37).
  2. NA reflects that CCBHCs were not asked to respond to this question again in DY2.

 

TABLE A.15. Availability of On-Site Primary Care at CCBHCs, by State, 2019
Primary Care Service State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Provides on-site primary care services 33% 60% 100% 57% 15% 67% 100% 29% 58%
Also an FQHC 0% 27% 0% 0% 0% 0% 0% 0% 3%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.16. Strategies Used by CCBHCs to Facilitate Crisis Planning, by State, 2019
Strategy State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Wellness recovery action plan 83% 53% 100% 86% 69% 67% 75% 100% 79%
Psychiatric advance directives 50% 47% 100% 100% 62% 100% 92% 100% 81%
Develop a safety/crisis plan 33% 67% 0% 29% 31% 100% 25% 43% 41%
Other 50% 87% 33% 86% 54% 100% 42% 57% 64%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.17. Types of Providers that Participate on CCBHC Treatment Teams, by State, 2019
Type of Provider State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
MH clinicians 100% 100% 100% 100% 100% 100% 100% 100% 100%
Case managers 100% 93% 100% 67% 100% 100% 100% 100% 95%
SUD treatment providers 100% 93% 100% 100% 100% 100% 92% 100% 98%
Psychiatrists 83% 87% 100% 67% 92% 100% 92% 100% 90%
Consumers/clients 100% 93% 57% 100% 77% 100% 75% 86% 86%
Community support and social service providers 83% 93% 86% 67% 54% 67% 75% 86% 76%
Consumer/client family members 100% 80% 57% 100% 77% 100% 58% 86% 82%
Primary care physicians 33% 47% 57% 100% 15% 33% 83% 43% 52%
Other 83% 73% 71% 67% 46% 67% 33% 14% 57%
SOURCES: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.18. CCBHC Notification about Consumers' Care Transitions for Physical and Behavioral Health Conditions
Notification about Care Transition Behavioral Health
Condition, 2018		 Behavioral Health
Condition, 2019		 Physical Health
Condition, 2018		 Physical Health
Condition, 2019
N % N % N % N %
Receives notification when hospital treats a client for: 59 88 47 71 38 57 38 58
Receives discharge summary from hospital after a client is treated for: 58 87 58 88 25 37 35 53
Receives notification when ED treats a client for: 48 72 44 67 34 51 35 53
Receives discharge summary from ED after a client is treated for: 41 61 42 64 22 33 22 33
Receives notification by other means (for example, contacts by consumers or families) about: 60 90 64 97 53 79 60 91
Total CCBHCs 67 100 66 100 67 100 66 100
SOURCE: CCBHC Annual Progress Report Demonstration Year 1 and Year 2 data collected by Mathematica and the RAND Corporation, March 2018 and March 2019.

 

TABLE A.19. CCBHC Notification about Consumers' Care Transitions for Behavioral Health Conditions, by State, 2019
Notification about Care Transition State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Receives notification when hospital treats a client for a behavioral health condition: 17% 93% 0% 86% 77% 100% 92% 29% 62%
Receives discharge summary from hospital after a client is treated for a behavioral health condition: 33% 93% 67% 86% 100% 100% 92% 100% 84%
Receives notification when ED treats a client for a behavioral health condition: 33% 87% 0% 71% 77% 0% 100% 29% 50%
Receives discharge summary from ED after a client is treated for a behavioral health condition: 17% 47% 67% 57% 100% 33% 100% 29% 56%
Receives notification by other means (for example, contacts by consumers or families) about behavioral health care transitions: 100% 93% 100% 100% 100% 100% 92% 100% 98%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.20. CCBHC Notification about Consumers' Care Transitions for Physical Health Conditions, by State, 2019
Notification about Care Transition State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
Receives notification when hospital treats a client for a physical health condition: 17% 80% 0% 57% 69% 0% 92% 14% 41%
Receives discharge summary from hospital after a client is treated for a physical health condition: 17% 60% 33% 43% 62% 0% 75% 57% 43%
Receives notification when ED treats a client for a physical health condition: 0% 80% 0% 57% 69% 0% 83% 0% 36%
Receives discharge summary from ED after a client is treated for a physical health condition: 0% 27% 33% 29% 46% 0% 75% 0% 26%
Receives notification by other means (for example, contacts by consumers or families) about physical health care transitions: 83% 93% 67% 100% 100% 100% 75% 100% 90%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.

 

TABLE A.21. CCBHC DCO Relationships with Other Facilities and Providers, by State, 2019
Facility/Provider Typea State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
FQHCs 0% 0% 0% 14% 15% 0% 8% 14% 7%
Rural health clinics 0% 0% 0% 0% 0% 0% 0% 0% 0%
Primary care providers 0% 0% 33% 14% 8% 0% 0% 0% 7%
Inpatient psychiatric facilities 0% 0% 0% 0% 0% 0% 0% 0% 0%
Psychiatric residential treatment facilities 0% 0% 0% 0% 0% 0% 0% 0% 0%
SUD residential treatment facilities 0% 7% 0% 14% 8% 0% 0% 0% 4%
Medical detoxification facilities 0% 7% 0% 0% 8% 0% 0% 0% 2%
Ambulatory detoxification facilities 0% 7% 0% 0% 8% 0% 0% 0% 2%
Post-detoxification step-down facilities 0% 13% 0% 0% 8% 0% 0% 0% 3%
Residential (non-hospital) crisis settings 0% 7% 0% 0% 8% 0% 0% 0% 2%
MAT providers for substance use 17% 0% 33% 0% 15% 0% 0% 29% 12%
Schools 17% 0% 0% 0% 8% 0% 0% 0% 3%
School-based health centers 17% 0% 0% 0% 0% 0% 0% 0% 2%
Child welfare agencies 0% 0% 0% 0% 0% 0% 0% 0% 0%
Therapeutic foster care service agencies 0% 0% 0% 0% 0% 0% 0% 0% 0%
Juvenile justice agencies 0% 0% 0% 0% 0% 0% 0% 0% 0%
Adult criminal justice agencies/courts 0% 7% 0% 0% 8% 0% 0% 0% 2%
MH/drug courts 0% 7% 0% 0% 8% 0% 0% 0% 2%
Law enforcement 0% 0% 0% 0% 0% 0% 0% 0% 0%
Indian Health Service or other tribal programs 0% 0% 0% 0% 0% 0% 0% 0% 0%
Indian Health Service youth regional treatment centers 0% 0% 0% 0% 0% 0% 0% 0% 0%
Homeless shelters 0% 0% 0% 0% 8% 0% 0% 0% 1%
Housing agencies 0% 0% 0% 0% 8% 0% 0% 0% 1%
Suicide/crisis hotlines and warmlines 0% 73% 0% 14% 31% 0% 0% 57% 22%
Employment services and/or supported employment 0% 7% 0% 14% 15% 0% 0% 14% 6%
Older adult services 0% 0% 0% 0% 0% 0% 0% 14% 2%
Other social and human service providers 0% 7% 0% 0% 8% 0% 8% 14% 5%
Consumer-operated/peer service provider organizations 0% 0% 0% 29% 8% 0% 8% 0% 6%
VA treatment facilities 0% 0% 0% 14% 0% 0% 0% 0% 2%
Urgent care centers 0% 0% 0% 14% 0% 0% 0% 0% 2%
EDs 0% 0% 0% 57% 0% 0% 0% 0% 7%
Hospital outpatient clinics 0% 0% 0% 0% 0% 0% 0% 0% 0%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.
  1. Color shading approximately represents the 5 main care coordination groupings from the CCBHC certification criteria: red (rows 1-3) = FQHCs, rural health clinics, other primary care providers; green (rows 4-10) = inpatient and residential behavioral health treatment; blue (rows 11-28) = community or regional services, supports, and providers; orange (row 29) = VA facilities; gray (rows 30-32) = inpatient acute care hospitals. For more information about the grouping of providers/facilities, see the criteria available at https://www.samhsa.gov/sites/default/files/programs_campaigns/ccbhc-criteria.pdf, pp. 27-31.

 

TABLE A.22. CCBHC Non-DCO (either formal and informal) Relationships with Other Facilities and Providers, by State, 2019
Facility/Provider Typea State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
FQHCs 50% 93% 100% 71% 77% 100% 75% 86% 82%
Rural health clinics 33% 53% 100% 14% 54% 100% 50% 43% 56%
Primary care providers 100% 93% 67% 100% 92% 100% 100% 86% 92%
Inpatient psychiatric facilities 100% 100% 100% 100% 92% 100% 100% 100% 99%
Psychiatric residential treatment facilities 100% 87% 100% 100% 85% 100% 100% 100% 96%
SUD residential treatment facilities 100% 80% 100% 100% 92% 100% 92% 100% 95%
Medical detoxification facilities 50% 93% 100% 86% 92% 100% 100% 100% 90%
Ambulatory detoxification facilities 33% 80% 67% 86% 85% 100% 100% 100% 81%
Post-detoxification step-down facilities 50% 67% 67% 100% 85% 67% 100% 71% 76%
Residential (non-hospital) crisis settings 50% 60% 100% 71% 85% 100% 92% 86% 80%
MAT providers for substance use 83% 87% 67% 100% 77% 100% 100% 86% 87%
Schools 83% 100% 100% 86% 85% 100% 100% 100% 94%
School-based health centers 33% 60% 67% 43% 46% 33% 83% 71% 55%
Child welfare agencies 83% 100% 100% 100% 92% 100% 100% 100% 97%
Therapeutic foster care service agencies 67% 87% 100% 57% 85% 67% 100% 86% 81%
Juvenile justice agencies 83% 100% 100% 71% 85% 100% 100% 100% 92%
Adult criminal justice agencies/courts 67% 93% 100% 100% 92% 100% 100% 100% 94%
MH/drug courts 67% 93% 100% 100% 92% 100% 100% 100% 94%
Law enforcement 100% 100% 100% 100% 92% 100% 100% 86% 97%
Indian Health Service or other tribal programs 50% 13% 100% 0% 46% 67% 67% 0% 43%
Indian Health Service youth regional treatment centers 17% 7% 100% 0% 38% 33% 25% 0% 28%
Homeless shelters 67% 87% 100% 100% 92% 100% 75% 100% 90%
Housing agencies 100% 93% 100% 100% 92% 100% 100% 86% 96%
Suicide/crisis hotlines and warmlines 67% 27% 100% 86% 62% 100% 100% 43% 73%
Employment services and/or supported employment 83% 87% 100% 86% 77% 100% 100% 71% 88%
Older adult services 83% 93% 100% 86% 85% 67% 100% 71% 86%
Other social and human service providers 100% 87% 100% 100% 100% 100% 100% 86% 97%
Consumer-operated/peer service provider organizations 50% 80% 100% 86% 85% 100% 100% 86% 86%
VA treatment facilities 100% 80% 100% 71% 85% 100% 100% 100% 92%
Urgent care centers 67% 87% 100% 71% 77% 67% 67% 71% 76%
EDs 100% 100% 100% 71% 92% 100% 100% 100% 95%
Hospital outpatient clinics 83% 87% 100% 86% 92% 100% 100% 86% 92%
SOURCE: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTES: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7.
  1. Color shading approximately represents the 5 main care coordination groupings from the CCBHC certification criteria: red (rows 1-3) = FQHCs, rural health clinics, other primary care providers; green (rows 4-10) = inpatient and residential behavioral health treatment; blue (rows 11-28) = community or regional services, supports, and providers; orange (row 29) = VA facilities; gray (rows 30-32) = inpatient acute care hospitals. For more information about the grouping of providers/facilities, see the criteria available at https://www.samhsa.gov/sites/default/files/programs_campaigns/ccbhc-criteria.pdf, pp. 27-31.

 

TABLE A.23. Functions of CCBHC EHR and HIT Systems, by State, 2019
Function State Average Percentage of
CCBHCs Across States
Minnesota Missouri Nevada New Jersey New York Oklahoma Oregon Pennsylvania
EHR contains MH records 100% 100% 100% 100% 100% 100% 100% 100% 100%
EHR contains SUD records 100% 100% 100% 100% 100% 100% 100% 100% 100%
EHR contains case management or care coordination records 100% 100% 100% 100% 100% 100% 100% 100% 100%
EHR has quality measure reporting capabilities 83% 93% 100% 100% 85% 100% 92% 100% 94%
EHR generates electronic care plan 83% 80% 100% 86% 100% 100% 100% 100% 94%
Any form of electronic prescribing used 83% 100% 100% 86% 100% 100% 92% 100% 95%
EHR incorporates laboratory results into health record 67% 87% 67% 71% 62% 100% 92% 100% 81%
EHR provides clinical decision support 50% 87% 100% 71% 85% 67% 92% 86% 80%
EHR contains primary care records 17% 47% 100% 57% 62% 67% 75% 43% 58%
EHR communicates with laboratory to request tests or receive results 33% 53% 33% 71% 46% 100% 67% 71% 59%
EHR allows electronic exchange of clinical information with other external providers 33% 40% 33% 43% 46% 67% 58% 43% 45%
EHR allows electronic exchange of clinical information with DCOs 17% 20% 33% 43% 31% 33% 33% 43% 32%
SOURCES: CCBHC Annual Progress Report Demonstration Year 2 data collected by Mathematica and the RAND Corporation, March 2019.
NOTE: Cell values are calculated as a proportion of the total number of CCBHCs in each state: Minnesota = 6, Missouri = 15, Nevada = 3, New Jersey = 7, New York = 13, Oklahoma = 3, Oregon = 12, Pennsylvania = 7
Tags: 
MedicaidMental Health and Cognitive ImpairmentMental Health and Substance AbuseQuality of Services and InformationQuality ImprovementService DeliveryCase ManagementServices IntegrationAccess or Barriers